32D1021054 CLIA NUMBER - WELLCARE INC DBA ENHABIT HOME HEALTH

Laboratory Demographics

  • CLIA Code: 32D1021054
  • Facility Name: WELLCARE INC DBA ENHABIT HOME HEALTH
  • Facility Address: 400 N PENNSYLVANIA AVENUE, SUITE 1250
    ROSWELL, NM
    ZIP 88201
  • Facility Phone: 575 622-9355
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: COURTNEY A. RAMIREZ
  • NPI Number: 1811098478
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D1021054
LAB Type Home Health Agency
Facility Name WELLCARE INC DBA ENHABIT HOME HEALTH
Street 400 N PENNSYLVANIA AVENUE, SUITE 1250
City ROSWELL
State NM
ZIP 88201
Phone 575 622-9355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Home Health Agency
Lab Director COURTNEY A. RAMIREZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025